01.I-Ureteroscopic lithotripsy isetshenziswa kabanzi ekwelapheni amatshe angaphezulu komgudu womchamo, kanti umkhuhlane othathelwanayo uyinkinga enkulu yangemva kokuhlinzwa. I-perfusion ye-intraoperative eqhubekayo inyusa ingcindezi ye-intrarenal pelvic (IRP). I-IRP ephezulu kakhulu ingabangela uchungechunge lomonakalo we-pathological ohlelweni lokuqoqa, ekugcineni luholele ezinkingeni ezifana nokutheleleka. Ngokuthuthuka okuqhubekayo kwamasu angenayo i-intracavitary kancane, i-ureteroscopy eguquguqukayo ehlanganiswe ne-holmium laser lithotripsy iye yazuza ukusetshenziswa ekwelapheni amatshe ezinso angaphezu kuka-2.5 cm ngenxa yezinzuzo zayo zokuhlukumezeka okuncane, ukululama ngokushesha ngemva kokuhlinzwa, izinkinga ezimbalwa, nokopha okuncane. Kodwa-ke, le ndlela ihlukanisa itshe kuphela, ayisusi ngokuphelele izingcezu ezichotshoziwe. Inqubo ngokuyinhloko incike kubhasikidi wokubuyisa amatshe, odla isikhathi, ongaphelele, futhi ojwayele ukwakheka komgwaqo wamatshe. Ngakho-ke, ukuthuthukisa amazinga angenawo amatshe, ukunciphisa izikhathi zokusebenza, nokunciphisa izinkinga zangemva kokuhlinzwa kuyizinselele ezicindezelayo.
02. Eminyakeni yamuva nje, kuye kwahlongozwa izindlela ezihlukahlukene zokuqapha i-IRP, futhi ubuchwepheshe bokudonsa ingcindezi engalungile buye basetshenziswa kancane kancane ku-ureteroscopic lithotripsy.
Okumise kuka-Y/sukukhishwai-ureterukufinyelelaumgodla
Ukusetshenziswa Okuhlosiwe
Isetshenziselwa ukusungula ukufinyelela kwensimbi phakathi nezinqubo ze-urology ureteroscopic.
Izinqubo
I-ureteroscopy eguquguqukayo/eqinile
Izinkomba
I-flexible holmium laser lithotripsy,
Ukuhlolwa kwe-Microscopic kanye nokwelashwa kwe-hematuria ephezulu yomchamo,
I-flexible holmium laser endoincision kanye ne-drainage yama-cysts parapelvic,
Ukusetshenziswa kwe-endoscopy eguquguqukayo ekwelapheni ukuqina kwe-urethra,
Ukusetshenziswa kwe-flexible holmium laser lithotripsy ezimweni ezikhethekile.
Inqubo Yokuhlinza:
Ngaphansi kwesithombe sezokwelapha, amatshe abonwa ku-ureter, esinyeni, noma izinso. I-guidewire ifakwa ngembobo yangaphandle ye-urethral. Ngaphansi kwe-guidewire, i-vacuum-pressure suction ureteral guide sheath ibekwa endaweni yokukhipha amatshe. I-guidewire kanye neshubhu le-dilator ngaphakathi kwe-ureter guide sheath kuyasuswa. Bese kubekwa ikepisi le-silicone. Ngembobo emaphakathi ekepisini le-silicone, i-ureteroscope eguquguqukayo, i-endoscope, i-laser fibre, nekhebula lokusebenza kwethulwa ngomzila oyinhloko we-ureter guide sheath ukuya ku-ureter, esinyeni, noma i-pelvis ye-renal ngezinqubo zokuhlinzwa ezifanele. Ngesikhathi senqubo, udokotela ohlinzayo ufaka i-endoscope ne-laser fiber ngokusebenzisa isiteshi se-sheath. Ngesikhathi se-laser lithotripsy, udokotela ohlinzayo kanyekanye uyafisa futhi asuse amatshe esebenzisa i-vacuum suction device exhunywe kwi-vacuum drainage port. Udokotela ohlinzayo ulungisa ingcindezi ye-vacuum ngokulungisa ukucinana kwekepisi yesixhumi se-Luer ukuze kuqinisekiswe ukususwa kwamatshe okuphelele.
Izinzuzo ngaphezu kwendabukoukungena kwe-urethraimigodla
01. Ikhono Eliphakeme Lokususa Amatshe: Izinga elingenatshe leziguli ezihlinzwa ngamatshe kusetshenziswa i-vacuum-pressure ureter guide sheath lifinyelele ku-84.2%, uma kuqhathaniswa ne-55-60% kuphela yeziguli ezisebenzisa i-sheath yomhlahlandlela evamile.
02. Isikhathi Esisheshayo Sokuhlinza, I-Les Traumatic: I-vacuum-pressure ureteral guide sheath inganqamula kanyekanye futhi isuse itshe phakathi nokuhlinzwa, inciphise kakhulu isikhathi sokusebenza kanye nengozi yokopha kanye nokutheleleka kwebhaktheriya.
03. Umbono Ocacile Ngesikhathi Sokuhlinzwa: Igobolondo le-vacuum-pressure ureteral guide sheath lisheshisa ukukhishwa nokufakwa kwe-perfusate, lisuse ngokuphumelelayo izinto ezincibilikayo phakathi nokuhlinzwa. Lokhu kunikeza inkambu ebonakalayo ecacile ngesikhathi sokuhlinzwa.
Izici Zokuklama Umkhiqizo
Igumbi lokudonsa
Ixhumeka emshinini wokumunca futhi isebenza njengeshaneli yokumunca, evumela uketshezi olukhipha amanzi ukuba luphume kanye nezingcezu zamatshe ezifisayo.
I-Luer Connector
Lungisa ukucinana kwekepisi ukuze ulungise ingcindezi yokumunca. Uma ikepisi liqiniswe ngokugcwele, ukumunca kuyakhuliswa, okuholela kumandla amakhulu okumunca. Ingasetshenziswa futhi njengendawo yokuchelela.
I-Silicone cap
Lesi sigqoko sivala isiteshi esikhulu. Inembobo encane emaphakathi, evumela ukwethulwa kwe-ureteroscope eguquguqukayo, i-endoscope, i-laser fiber, noma ikhebula elisebenzayo ngokusebenzisa umzila oyinhloko we-ureter introducer sheath ukuya ku-ureter, esinyeni, noma i-pelvis ye-renal ngezinqubo zokuhlinzwa zase-aseptic.
Thina, i-Jiangxi Zhuoruihua Medical Instrument Co., Ltd., singumkhiqizi waseChina ogxile ezintweni ezisetshenziswayo ze-endoscopic. Sine-GI line, njenge i-biopsy forceps, i-hemoclip, i-polyp snare, inaliti ye-sclerotherapy, i-sclerotherapy catheter, amabhulashi e-cytology, i-guidewire, ubhasikidi wokubuyisa amatshe, i-nasal biliary drainage catheter ezisetshenziswa kakhulu kuI-EMR, ESD, ERCP. Futhi umugqa we-urology, njengeUbhasikidi Wokubuyisa Amatshe Womchamo, I-Guidewire, I-Ureral Access Sheath futhiI-Ureral Access Sheath ngokumuncwa njll.Imikhiqizo yethu iqinisekiswe yi-CE, futhi izitshalo zethu ziqinisekiswe yi-ISO. Izimpahla zethu zithunyelwe eYurophu, eNyakatho Melika, eMpumalanga Ephakathi nasengxenyeni ye-Asia, futhi zithola kabanzi ikhasimende lokuqashelwa nokudumisa!
Isikhathi sokuthumela: Aug-02-2025